Dimethyl sulfoxide (Sigma-Aldrich) was added in the amplification reactions for VNTR3820 and VNTR4120 (8%) and QUB11a, QUB18, and QUB3232 (12%). The sizes of the PCR products were calculated after electrophoresis in 2% agarose gels (MS8 agarose; Pronadisa, Madrid, Spain) for 17.5 hours at 45 V (for products under 800 bp) or

22 hours (for larger products). Assignation of alleles was based on table sizes kindly provided by Dr. Tomotada Iwamoto (Microbiology Dep., Kobe Health Institute, Japan) and on data published elsewhere [19, 20, 28, selleck chemicals 49]. In certain cases, the large size for some products obtained at loci QUB11a, VNTR3820, and QUB3232 did not allow accurate assignation of alleles. In these cases, we only could estimate that the number of repetitions was higher than 20 (> 20). When we observed products Survivin inhibitor differing in size in groups of isolates with more than 20 repetitions, we sub-labeled them > 20a, > 20b, > 20c and > 20d. For the analysis by MIRU-VNTR of the isolates sharing RFLP pattern with the strain involved in the Gran Canaria outbreak (analyzed in Hospital Miguel Servet, Zaragoza), only the 15-loci format was applied and not the expanded set of five additional loci, because these have not been validated buy Linsitinib for interlaboratory comparisons

due to low interlaboratory reproducibility. Cluster analysis Genotypic patterns were analyzed using Bionumerics 4.6 (Applied Maths, Belgium). Dendrograms were generated using the unweighted pair group method with arithmetic averages (UPGMA) and the Dice coefficient or the categorical coefficient for IS6110-RFLP and MIRU-15 analysis, respectively. RFLP clusters and orphan status were defined for isolates sharing

identical fingerprints after analyzing the patterns for the 2391 MTB isolates from the population-based sample. MIRU clusters were defined for isolates sharing identical patterns. Susceptibility test Susceptibility testing with isoniazid, rifampin, streptomycin, pyrazinamide, and ethambutol was performed using the mycobacterial growth indicator SIRE system (Becton Dickinson, Sparks, Maryland, USA). Cell cultures The human promonocytic cell line THP-1 was obtained from the American Type Culture diglyceride Collection (TIB-202; Manassas, Virginia, USA). Cell cultures were maintained in modified RPMI 1640 + L-glutamine (Gibco, Grand Island, NY) supplemented with 10% fetal bovine serum (Gibco, Grand Island, NY), 10 mM HEPES, and 50 μg/ml gentamicin (Gibco, Grand Island, NY). Cultures were maintained at 7-10 × 105 cells/ml and incubated at 37°C in 5% CO2 in a humidified incubator. In order to ensure that we are working with a macrophage model, THP-1 cells were differentiated to adherent macrophages by the addition of 200 nM phorbol myristate acetate (PMA) (Sigma, St. Louis, MO) for 3 days at 37°C in 5% CO2. Cell infection Cells were infected as described elsewhere [10], with slight modifications.